Form E-AHCCCS: AHCCCS Contractor Quarterly Premium Tax Report


Arizona Department of Insurance
100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630

Starting July 1, 2020, we became the
Department of Insurance and Financial Institutions (DIFI).

Premium tax report for AHCCCS contractors.  Updated 1/31/2020

AHCCCS Contractor Tax Payment: Quick Reference Guide (State Agencies)

For use by Arizona State Agency contractors only.  Step-by-step instructions for for state-agency AHCCCS contractors to use to submit the tax report and complete the ITA (Internal Transaction Agreement).  Updated 12/6/2015.